JOLENE BRYNER HENSHAW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044107

License Status

EXPIRED

Business

First Name

JOLENE

Middle

BRYNER

Last Name

HENSHAW

Suffix

Business Name

JOLENE BRYNER HENSHAW MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2007

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/03/2007